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meritain claims address meritain claims address

Meritain health prior authorization form, Health (8 days ago) FeedbackThanks!Tell us moreWelcome to the new BingYour AI-powered copilot for the webAsk anythingLet's ChatPeople also askIs meritain health the same as Aetna?Meritain Health is a subsidiary of Aetna and is one of the nations largest administrators of health benefits. H23U0t.=s#0ag endobj To reach us by phone, dial the toll-free number on the back of the patients ID card. endobj Employee information: if you are NOT the employee of the plan %PDF-1.7 A description of the services provided. xPpurb & 75 0 obj 0000004995 00000 n <>/Subtype/Form/Type/XObject>>stream <<786CC871D6E58841AFFFF22908309F57>]/Prev 447040/XRefStm 2739>> 55 0 obj endobj endstream <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 190.56 198.96 200.64 209.04]/Subtype/Widget/Type/Annot>> endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 134.04 506.76 260.16 528.96]/Subtype/Widget/T(Spouses Name last first initial)/TU(Spouses Name \(last, first, initial\))/Type/Annot>> endobj 14 0 obj endobj Our navigation partnerships and holistic approach to plan design helps support member health journeys. 0000016302 00000 n 0000077747 00000 n 88 0 obj <>/Subtype/Form/Type/XObject>>stream endobj endobj . xPpurb & x endstream 141 0 obj Lastly, just mail the completed form and original invoice to , https://www.employeeconnects.com/wp-content/uploads/2021/06/Grand-Rounds-Submitting-a-Claim.pdf, Health (9 days ago) WebHealth Claim Form - KP Health (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. xPpurb & x 223 0 obj <>stream 3 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb & xPpurb & For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 10 0 obj What are the hallmarks of a good provider network? endobj Learn how to partner with us. 0000263474 00000 n <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Section 5. 29 0 obj 82 0 obj endobj endobj startxref endobj endobj endobj H23U0t.=s#0ag 0000091099 00000 n We're making access just a click away. For ALL claims, this area must be filled in completely. endobj %R I absolutely love placing business with Meritain, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, Five Things to Know About Alzheimers Disease. endobj At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. 0000030202 00000 n endstream 0000018652 00000 n xPpurb & endstream endobj 0000009558 00000 n endobj endobj 5 0 obj <>/Subtype/Form/Type/XObject>>stream hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r endobj Hl For 24-hour automated phone benefits and claims information, call us at 1.800. endobj 0000220357 00000 n endstream <> 116 0 obj If you havent created an account, click Register at the top right of this page and follow the prompts. Combined with our own in-house products and valued vendor partnerships, our . If you have questions about claims or benefits, were happy to help. <>/Subtype/Form/Type/XObject>>stream If you have any questions about your benefits or claims, were happy to help. bmV= 2)2`mXYg lUR(4uI?6"kwvdQBf-0d\+;#OA':(+ <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 134 0 obj xHMef2'oj,Fm'6bCL{@4t./~I2_d>\@+h?Mu(\bu 7FY,Q$jJ I am very impressed with Meritain Health. 0000075005 00000 n 81 0 obj 20 0 obj 156 0 obj &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V 154 0 obj Your patient's health and your ability to access their information is important to us. 90 0 obj 0000222259 00000 n <>/Subtype/Form/Type/XObject>>stream endstream endobj <>/Subtype/Form/Type/XObject>>stream 46 0 obj Provider services - Meritain Health. All sections of the form must be complete for the form to be considered. 80 0 obj <>/Subtype/Form/Type/XObject>>stream Our phone lines are open 24 hours a day, seven days a week. Skip to content. <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s 118 0 obj Each member may setup a Login for themselves as well as any minor children covered by the plan. Or fax to (763)-852-5057. 51 0 obj <>/Subtype/Form/Type/XObject>>stream You can submit . 0000002365 00000 n Transition or Continuity of Care (in Spanish). endobj Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 371.76 201.72 388.08]/Subtype/Widget/T(Name of Other Health Insurance Carrier or Plan)/TU(Name of Other Health Insurance Carrier or Plan)/Type/Annot>> xPpurb & Call Meritain (866) 209-3061 to obtain claim #; then call IBEW-IL (618) -2002 to get claim status. 0000075278 00000 n endobj xPpurb & 35 0 obj endstream endstream <>/Subtype/Form/Type/XObject>>stream 0000244628 00000 n endobj Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 513.84 599.04 579.72 615.24]/Subtype/Widget/T(Group Number)/TU(Group Number)/Type/Annot>> endstream <>/Subtype/Form/Type/XObject>>stream 0000006809 00000 n endstream endstream 2. Plan and member information 0000018717 00000 n endobj Access information quickly , https://www.meritain.com/wp-content/uploads/2021/02/Microsoft-Word-Vision-Claim-Form_TX-853921.pdf, Health (1 days ago) WebRepresentatives are available on the general line from 7:00 AM8:00 PM CT. To reach us by email: [emailprotected] Access your information quickly For 24-hour access to , https://www.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-member-services/, Health (3 days ago) WebElectronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS APPLICABLE STATE Carpenters Health & Welfare Trust Fund Meritain Health PO Box 853921 , https://www.mbh-eap.com/wp-content/uploads/Claim-Submission-and-Payment-Addresses-2020-r2.pdf, Health (5 days ago) WebThe name, address and telephone number of the provider. xPpurb & If you have questions about claims or benefits, were happy to help. endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 356.16 213.36 462.84 225.24]/Subtype/Widget/T(Name of insurance company)/TU(Name of insurance company)/Type/Annot>> <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 208.56 352.32 218.64 362.4]/Subtype/Widget/T(Group)/TU(Group)/Type/Annot>> 2JSt}Np~}y7i6i~..jnfE6zS\0 u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E <>/Subtype/Form/Type/XObject>>stream %%EOF Contact us If you have questions about claims or benefits, we're happy to help. 16 0 obj H23U0t.=s#0ag <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 491.689 575.64 579.6 597.84]/Subtype/Widget/T(Home Telephone)/TU(Home Telephone \( \))/Type/Annot>> You can get medical advice, a diagnosis or a prescription by video or phone. 17 0 obj As a Meritain Health member, per the Federal Government, you are eligible for insurance reimbursement under a qualified plan for FDA-authorized COVID-19 at-home tests purchased on or after January 15. endstream <>/Subtype/Form/Type/XObject>>stream 50 0 obj endstream At Meritain Health, our jobs are simple: we're here to help take care of you. x 139 101 0000220644 00000 n endobj <>/Subtype/Form/Type/XObject>>stream endobj 0000078515 00000 n Aetna Claim Address , https://medicalbillingrcm.com/aetna-claim-address-phone-number/, Health (4 days ago) WebList of Accounts managed by Mercy Managed Behavioral Health - effective 7/01/17 **Send claims directly to the third party administrator. 157 0 obj 128 0 obj 117 0 obj <>/Subtype/Form/Type/XObject>>stream endobj By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice. endstream 0000243858 00000 n Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. endobj endobj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream By prioritizing data for plan building and success to a variety of member tools, well support you every step of the way. 25 0 obj <> endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 542.04 371.76 579.6 393.96]/Subtype/Widget/T(Zip Code_2)/TU(Zip Code)/Type/Annot>> Or fax to (763)-852-5057. <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 234.36 198.96 244.44 209.04]/Subtype/Widget/Type/Annot>> endobj x 0000001905 00000 n 91 0 obj You can accommodate anything, and you build it into the process. endobj 145 0 obj 0000071642 00000 n But do you listen to your gut when it comes to your health? When on the portal, you can also download our free mobile app. All rights reserved. xPpurb & 160 0 obj xPpurb & H23U0t.=s#0agf!R I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. No. endstream If you're a Client or Broker, please contact your Meritain Health Manager. Our Meritain Health client management team is by far the best weve ever worked with. 21 0 obj <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s 0 <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 43.2 575.64 183.6 597.84]/Subtype/Widget/T(City)/TU(City)/Type/Annot>> Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . s0G}JbfX^Z@0R ;]Vomm.mu:bq[0iiz=s7^weqE|ZV%%|-%9 xPpurb & 9 0 obj To reach us by phone, dial the toll-free number on the back of the patient's ID card. xPpurb & <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 90.84 483.36 164.52 505.56]/Subtype/Widget/T(Spouses Birthdate)/TU(Spouses Birthdate)/Type/Annot>> 0000153590 00000 n 129 0 obj Copyright 2023 Meritain Health. endstream endstream 0000001063 00000 n xPpurb & endobj xPpurb & x endstream 34 0 obj endstream 37 0 obj 31 0 obj <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 296.88 213.36 354.72 231.12]/Subtype/Widget/T(Policy)/TU(Policy #)/Type/Annot>> xPpurb & {1O endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 390.6 371.76 471.6 393.96]/Subtype/Widget/T(City_2)/TU(City)/Type/Annot>> endobj <> To reach us by email:service@meritain.com. endobj 0000007217 00000 n !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K Meritain Health PO Box 853921 Richardson, TX 75085-3921 WEBMD/Emdeon #41124, Mckesson/Relay Health #1761 (618) 344-2002 IBEW Local No. x3P0 t.C=30agE\i\ gs <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 142.44 254.76 219.48 279]/Subtype/Widget/T(Injury Illness Date and time of accident)/TU(Injury Illness Date and time of accident:)/Type/Annot>> 6 0 obj endobj <>/Subtype/Form/Type/XObject>>stream 125 0 obj 0000003072 00000 n {For the status of submitted claims. <>/Subtype/Form/Type/XObject>>stream 48 0 obj 137 0 obj <>/Subtype/Form/Type/XObject>>stream 44 0 obj 0000075451 00000 n 104 0 obj H23U0t.=s#0ag endstream 133 0 obj How do I contact meritain health? xPpuVru endobj endstream endobj "LR 0000020823 00000 n endobj <>/Subtype/Form/Type/XObject>>stream 0000262626 00000 n endstream 0000002739 00000 n endstream 86 0 obj 144 0 obj It is believed to be accurate at the time of posting and is subject to change. 7 0 obj <>/Subtype/Form/Type/XObject>>stream 73 0 obj 0000243974 00000 n For the fastest service, dial the toll-free number on the back of your ID card. 140 0 obj endstream endobj endobj 97 0 obj In a year sure to be filled with many milestones, For some people, memory loss can simply occur as a natural part of getting older. All rights reserved. endobj MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis, Minnesota - Insurance - Phone Number - Yelp Restaurants Home Services Auto Services Meritain Health 117 reviews Unclaimed Insurance Write a review Add photo Photos & videos See all 7 photos Add photo endstream 40 0 obj<>stream % endstream 28 0 obj endobj H23U0t.=s#0agf!R@PBLX n (5 days ago) WebClaims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921. Sure, youve probably trusted a gut feeling when deciding something. <>stream and helpful tips for boosting good healthfor you, and your family. endobj endstream 78 0 obj You can get answers to what you need, around the clock. <>/Subtype/Form/Type/XObject>>stream 0000047241 00000 n x <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 371.52 575.64 449.16 597.84]/Subtype/Widget/T(Work Telephone)/TU(Work Telephone \( \))/Type/Annot>> Meritain Health Claim Mailing Address Health (9 days ago) Web (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. Whether you're building an employee benefits program, researching your member benefits or offering support to your patients, we're ready to help you do more with your health plan. <>/Subtype/Form/Type/XObject>>stream After logging in to your Meritain Health account, click on the Submit a Claim link at the top of the page. Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. endobj endobj endstream Section 2. <>/Subtype/Form/Type/XObject>>stream xPpurb & endobj Welcome to Meritain Health. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 464.16 213.36 579.84 225.24]/Subtype/Widget/T(Address city state zip)/TU(Address \(city, state, zip\))/Type/Annot>> <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 92.28 324.96 579.6 347.04]/Subtype/Widget/T(Spouses Employer_2)/TU(Spouses Employer)/Type/Annot>> Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. x3P0 t.C=63E\i\ g3s 8 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 402.96 506.76 534.6 528.96]/Subtype/Widget/T(Childs Name first last initial)/TU(Childs Name \(first, last, initial\))/Type/Annot>> <>/Subtype/Form/Type/XObject>>stream xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 0000047633 00000 n 147 0 obj <>/Subtype/Form/Type/XObject>>stream 0000195598 00000 n :Y iy}3q:tGp#bI4jH"KAmME#LVAdE!Q(?PS-uxqGkF&oeNwuS%uARm3E|wpy % 0000124097 00000 n 2 0 obj 0000026482 00000 n "LR@PBPBLM, k 87 0 obj 0 0000000016 00000 n endobj endobj endobj Box 30111 Health (3 days ago) WebAddress: Telephone #: City: State: Zip: Is this a change of address? Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). endstream endobj 178 0 obj <>stream Complete and send to: Meritain Health P.O. <>/Subtype/Form/Type/XObject>>stream Try for free at rocketreach.co . endobj To reach us by phone, dial the toll-free number on the back of the patients ID card. Doctor Lookup. H23U0t.=s#0agf!R@PBLX n <>/Subtype/Form/Type/XObject>>stream Individuals & Families. 0000263097 00000 n xPpurb & <>/Subtype/Form/Type/XObject>>stream endobj I have never dealt with a large company who answers their phone right away and always gives good service. Looking to build a benefits plan? 123 0 obj Copyright 2023 Meritain Health. endobj endobj 0000220396 00000 n xPpurb & For 24-hour access to your patients health information,log in to your account. It is recommended that plans consult with their own experts or counsel to review all applicable federal and state legal requirements that may apply to their group health plan. H23U0t.=s#0agf!R@PBLX n endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. endstream Contact us at 1.800.925.2272 if you have . <>/Subtype/Form/Type/XObject>>stream endobj endobj Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. 0000221985 00000 n x <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 301.56 579.6 323.76]/Subtype/Widget/T(Spouses Employers Address_2)/TU(Spouses Employers Address)/Type/Annot>> Box 27267 Minneapolis, MN 55472 , https://www.nwarctic.org/cms/lib/AK01001584/Centricity/Domain/37/Meritain-Info.pdf, Health (3 days ago) WebAetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. N.-BE+!W9wX4]c&OGQ 52 0 obj x3P0 t.C=63E\i\ g3s endobj endobj <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0agf$LR@PBPBLDA k 113 0 obj Claims can be submitted for any covered member. 0000002923 00000 n 159 0 obj 15 0 obj The form linked below should be completed by a member who needs togrant access to their PHIto another individual in connection with an appeal. xref 13 0 obj 124 0 obj }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp endstream 139 0 obj %PDF-1.5 % 143 0 obj Our industry-leading programs and partnerships with health care innovators allow us to connect our plan sponsors with the right benefits to meet commonand not-so-commonself-funding challenges. [ 313 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 314 0 R 315 0 R ] endstream x3P0 t.C=C=33=aP gos <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 235.56 541.08 245.64 551.16]/Subtype/Widget/T(Employees Spouse)/TU(Employees Spouse)/Type/Annot>> 65 0 obj 126 0 obj Box 30111 Lansing, MI 48909 Fax to: 888.837.3725 https://www.meritain.com/wp-content/uploads/2021/02/Microsoft-Word-FSA-Claim-Form_MI_2018.pdf endobj Provider. Meritain Healths claim appeal procedure consists of three levels: There are two forms listed below that a member must complete and give to the provider submitting the formal written appeal. <>/Subtype/Form/Type/XObject>>stream endstream <>/Subtype/Form/Type/XObject>>stream Together, well explore your ideal plan to meet your 72 0 obj 85 0 obj 0000005765 00000 n endobj 0000030531 00000 n xPpurb & x <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endstream If you're a Member or Provider please call 888-509-6420. 135 0 obj 63 0 obj All rights reserved. 25 16 H23U0t.=s#0agf!R endobj Access information quickly For 24-hour access to your patient's health information, log in to your <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 278.04 506.76 302.88 528.96]/Subtype/Widget/T(Sex_2)/TU(Sex)/Type/Annot>> Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone 49 0 obj 0000078102 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 348.36 201.72 364.68]/Subtype/Widget/T(Other Insurance Carriers or Plans Telephone)/TU(Other Insurance Carriers or Plans Telephone #)/Type/Annot>> endobj <>/Subtype/Form/Type/XObject>>stream endstream endstream x3P0 t.C=30agE\i\ gs endobj endobj endobj 0000047567 00000 n 110 0 obj endobj %%EOF <>/Subtype/Form/Type/XObject>>stream endobj Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If you havent created an account, click Register at the top right of this page and follow the prompts. endstream For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream 38 0 obj endobj 158 0 obj x3P0 t.C=C=33=aP gos 0000244069 00000 n H23U0t.=s#0agf!R@PBLX n endobj To reach us by phone, dial the toll-free number on the back of the patient's ID card. 4 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 77.52 599.04 341.16 621.24]/Subtype/Widget/T(Home Address)/TU(Home Address)/Type/Annot>> endstream For 24-hour access to your patients health information,log in to your account. Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. Your network, benefit plans, programs and member communications will be tailored to you. endobj <>/Subtype/Form/Type/XObject>>stream 0000026121 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 433.2 622.44 579.6 644.52]/Subtype/Widget/T(Employer Name)/TU(Employer Name)/Type/Annot>> All rights reserved. endstream H23U0t.=s#0agf!R@PBLX n hbbbd`b``3h7 / endstream endobj For more information, please call Meridian Member Services at 888-437-0606 (Michigan) or 866-606-3700 (Illinois). 0000070325 00000 n %R xPpurb & <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 237.84 238.2 247.8 248.16]/Subtype/Widget/T(undefined_3)/TU(undefined)/Type/Annot>> 9fK3J*9zl3$6)6}t+d=u+iTv5G(. h|]1Lf2wO^%L[^'t7o1/ V5?? 148 0 obj endobj endobj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 95.16 267.36 105.24 277.44]/Subtype/Widget/T(undefined_2)/TU(undefined)/Type/Annot>> endobj endobj endobj Box 2070 Milwaukee, WI 53201-2070 Short Term Medical. 0000026709 00000 n Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 , https://www.health-improve.org/meritain-health-claim-mailing-address/, Health (9 days ago) Web(9 days ago) WebMeritain Health Claims Mailing Address Health (9 days ago) Web (1 days ago) WebHealth Claim Form Complete and send to: Meritain Health P.O. We are your Advocates for Healthier Living, and were here to connect you and your family to the care you need, right when you need it. 0000030938 00000 n endobj <>/Subtype/Form/Type/XObject>>stream 12 0 obj endobj 0000221647 00000 n Purpose: why do you want the information released? <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 281.52 238.2 291.6 248.16]/Subtype/Widget/T(undefined_4)/TU(undefined)/Type/Annot>> endstream endobj 26 0 obj<> endobj 27 0 obj<> endobj 28 0 obj<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>> endobj 29 0 obj<> endobj 30 0 obj<> endobj 31 0 obj<> endobj 32 0 obj[/ICCBased 38 0 R] endobj 33 0 obj<> endobj 34 0 obj<> endobj 35 0 obj<> endobj 36 0 obj<>stream

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